Psychological Symptoms and Behavioral Changes in Children and Adolescents During the Early Phase of COVID-19 Quarantine in Three European Countries.
Psychological Symptoms and Behavioral Changes in Children and Adolescents During the Early Phase of COVID-19 Quarantine in Three European Countries.
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在三个欧洲国家，Covid-19隔离的早期阶段儿童和青少年的心理症状和行为变化。
DOI：
10.3389/fpsyt.2020.570164
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发表时间：
2020
影响因子：
4.7
通讯作者：
Orgilés M
中科院分区：
文献类型：
--
作者：
Francisco R;Pedro M;Delvecchio E;Espada JP;Morales A;Mazzeschi C;Orgilés M
2020年，新型冠状病毒病（COVID-19）大流行迫使全球大部分人口（包括大量儿童及青少年）居家隔离数周。负面的心理影响已被确定在成年人中，但这种类型的社会距离措施对儿童和青少年的影响的研究很少。本研究旨在描述和比较来自三个南欧国家（意大利、西班牙和葡萄牙）的儿童和青少年与COVID-19隔离相关的即时心理和行为症状。1，480名3至18岁（M = 9.15，SD = 4.27）的儿童和青少年（52.8%为男孩）的父母参加了这项研究。于2020年3月至4月期间的15天内，我们使用雪球抽样技术进行了一项在线调查，这代表了与COVID-19疫情相关的隔离的早期阶段。父母回答了关于社会人口数据、住房条件、隔离期间的即时心理反应（例如，焦虑、情绪、睡眠和行为改变）、屏幕使用模式、日常身体活动以及隔离前和隔离期间的睡眠时间。结果显示，儿童的心理和行为症状增加，屏幕时间增加，体力活动减少，每晚睡眠时间增加。与葡萄牙和西班牙儿童相比，意大利儿童的心理和行为症状较少。一般来说，分层多元回归显示，在房子里有一个室外出口（例如，花园、梯田）的心理和行为活动水平较低。未来的研究需要确定家庭和个人变量，以更好地预测儿童和青少年在隔离期间和隔离后的健康状况。家庭的建议和实践的影响进行了讨论。
The coronavirus disease (COVID-19) pandemic forced the home confinement of the majority of population around the world, including a significant number of children and adolescents, for several weeks in 2020. Negative psychological effects have been identified in adults, but research about the impact of this type of social distancing measure on children and adolescents is scarce. The present study aimed to describe and compare the immediate psychological and behavioral symptoms associated with COVID-19 quarantine in children and adolescents from three southern European countries with different levels of restrictions (Italy, Spain, and Portugal). Parents of 1,480 children and adolescents (52.8% boys) between 3 and 18 years old (M = 9.15, SD = 4.27) participated in the study. An online survey using snowball sampling techniques was conducted during 15 days between March and April 2020, representing the early phase of the quarantine associated with COVID-19 outbreak. Parents answered questionnaires about sociodemographic data, housing conditions, immediate psychological responses during quarantine (e.g., anxiety, mood, sleep, and behavioral alterations), patterns of use of screens, daily physical activity, and sleep hours before and during the quarantine. The results revealed an increase in children's psychological and behavioral symptoms, increased screen-time, reduced physical activity, and more sleep hours/night. Italian children presented less psychological and behavioral symptoms compared with Portuguese and Spanish children. In general, hierarchical multiple regressions revealed that having an outdoor exit in the house (e.g., garden, terrace) contributed to lower levels of psychological and behavioral symptomatology. Future studies are needed to identify family and individual variables that can better predict children and adolescents' well-being during and after quarantine. Recommendations for families and implications for practice are discussed.
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